Active NPI
Erin Deborah Burch
- Physical Therapist
- Boiceville, NY
National Provider Identifier
1265634232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026056
- Practice address
- 4166 State Route 28
Boiceville, NY 12412-5203 - Phone
- (845) 657-8742
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026056 | NY | Primary |
Addresses
Primary practice location
4166 State Route 28
Boiceville, NY 12412-5203
Mailing address
PO Box 714
Glasco, NY 12432-0714
Other practice location 1
111 Maiden Ln
Kingston, NY 12401-4525
Phone (845) 331-8590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026056 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1265634232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 714",
"city": "GLASCO",
"state": "NY",
"postal_code": "124320714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4166 STATE ROUTE 28",
"city": "BOICEVILLE",
"state": "NY",
"postal_code": "124125203",
"telephone_number": "845-657-8742"
}
],
"practiceLocations": [
{
"address_1": "111 Maiden Ln",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "NY",
"postal_code": "124014525",
"country_code": "US",
"telephone_number": "845-331-8590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURCH",
"first_name": "ERIN",
"middle_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boiceville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.